Individual provider Active NPI

Jeffery Thomas Horton, ARNP

  • Family Nurse Practitioner
  • Chipley, FL
National Provider Identifier
1396997193
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3375492 Issued in FL
Practice address
1410 Brickyard Rd
Chipley
Chipley, FL 32428-5966
Phone
(850) 638-3400
Fax
(850) 638-9611
NPI assigned
Oct 13, 2008
Last updated
Oct 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3375492 FL Primary

Addresses

Primary practice location

1410 Brickyard Rd
Chipley
Chipley, FL 32428-5966

Mailing address

1410 Brickyard Rd
Chipley
Chipley, FL 32428-5966
Phone (850) 638-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000467 FL Practitioner - Nurse Practitioner 3678639473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

1410 Brickyard Rd
Chipley, FL 32428-5966
Phone (850) 638-3400

925 Carlisle Rd
Chipley, FL 32428-4360
Phone (850) 638-9399

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3375492FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Healthcare, Inc Current Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince May 1, 2016 Accepting new patients
Northwest Florida Healthcare, Inc. CurrentSince May 1, 2016 Accepting new patients
Northwest Florida Healthcare, Inc. Past Accepting new patients

Locations

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1410 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-3400

Interoperability endpoints

  • Direct secure messaging: jeffrey.horton.1@14612.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1396997193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BRICKYARD RD",
            "address_2": "CHIPLEY",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285966",
            "telephone_number": "850-638-3400",
            "fax_number": "850-638-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BRICKYARD RD",
            "address_2": "CHIPLEY",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285966",
            "telephone_number": "850-638-3400",
            "fax_number": "850-638-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "JEFFERY",
        "middle_name": "THOMAS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3375492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chipley, FL

Sources for this page

Verify at the official NPI Registry.